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1750501516 NPI number — GONZALO LAJE MD

NPI Number: 1750501516
Health Care Provider/Practitioner: GONZALO LAJE MD

Information about “1750501516” NPI (GONZALO LAJE MD) exists in 1750501516 in HTML format HTML  |  1750501516 in plain Text format TXT  |  1750501516 in PDF (Portable Document Format) PDF  |  1750501516 in an XML format XML  formats.

NPI Number : 1750501516 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750501516",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAJE",
    "FirstName": "GONZALO",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5480 WISCONSIN AVE STE 223",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHEVY CHASE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20815-3503",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-576-6044",
    "MailingAddressFaxNumber": "301-576-1645",
    "FirstLinePracticeLocationAddress": "5480 WISCONSIN AVE",
    "SecondLinePracticeLocationAddress": "APT 223",
    "PracticeLocationAddressCityName": "CHEVY CHASE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20815-3530",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-576-6044",
    "PracticeLocationAddressFaxNumber": "301-576-1645",
    "EnumerationDate": "04/26/2007",
    "LastUpdateDate": "01/06/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084P0804X",
          "TaxonomyName": "Child & Adolescent Psychiatry Physician",
          "LicenseNumber": "D62330",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "D62330",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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